Procurement Market Intelligence Report
Permanent Medical Staffing
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Permanent Medical Staffing Global Overview
Definition
Summary
Suppliers of permanent medical staffing recruitment services list employment vacancies and refer applicants for employment in hospitals, clinics, and other medical facilities. Those who are recruited are not employees of the recruitment agency, but of the company that hires them. This report excludes temporary staffing, contract employment, temp-to-perm, and other non-medical staffing services.
This Report Includes:
- Employment Vacancy Listing
- Employment Referrals
Not in this Report:
- Temporary Staffing
- Contract Employment
- Temp-to-Perm Staffing
- Non-Medical Staffing
Global Permanent Medical Staffing Procurement Trends
Discover the top international trends affecting procurement in the global Permanent Medical Staffing market.
Warning Trends
United States announces additional tariffs on China
- In February 2025, the United States announced 10.0% tariffs on imports from China. The tariffs took effect on February 4, 2025.
- The tariff plan applies to all merchandise imported for consumption and applies in addition to other duties and fees that are in place, with limited exceptions.
- In response, China announced a 15.0% tariff on products such as coal and natural gas, as well as a 10.0% tariff on crude oil, agricultural machinery, pickup trucks, and large cars. The tariff executive orders indicate retaliatory tariffs could lead to further escalation in rates.
- Providers in this market rely on inputs often sourced from China. As such, ProcurementIQ will continue to monitor developments in this space and update analysis accordingly.
United States postpones plans for sweeping tariffs on Canada and Mexico
- In February 2025, the United States announced 25.0% tariffs on imports from Canada and Mexico.
- Though initially set to take effect on February 4, 2025, the implementation of tariffs on Canada and Mexico has been postponed 30 days to allow for further negotiation.
- The tariff plan initially proposed by the US applies to all merchandise imported for consumption and applies in addition to other duties or fees that are in place, with limited exceptions.
- Providers in this market rely on input costs often sourced from an affected country. As such, ProcurementIQ will continue to monitor developments in this space and update analysis accordingly.
Neutral
Labor markets tighten slightly following interest rate cuts
- In recent months, the unemployment rate has remained stable at 4.1%, a still relatively low mark, though higher than it was in prior years. This trend indicates sustained competitiveness in the overall labor market, though certain industries have experienced waning labor demand.
- The latest jobs report indicates that major industries, such as construction, retail, leisure & hospitality, and transportation & warehousing, no longer face hiring shortfalls.
- However, worker shortages persist in the manufacturing and healthcare sectors, as 29.9% and 50.0% of job openings in each sector remained unfilled in August, respectively.
- In blue-collar fields, 33.9%, 70.1%, and 49.9% of job openings for information, finance, and professional service roles remained unfilled in September, though unfilled positions in these occupations can also be partially attributed to the longer average hiring times in these industries.
Global Permanent Medical Staffing Market - Suppliers by Region
| Country/Region | Number of Suppliers |
|---|---|
| #1China | 17,520 |
| #2Europe | 16,215 |
| #3United States | 12,450 |
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Geography Drilldown - US
Average Cost of Permanent Medical Staffing
United States
2025 Market Pricing$10.00 to $XX.XX
of the first-year salaryAverage Price
Prices in the Permanent Medical Staffing market range from $10.00 to $XX.XX, depending on Type of Position Filled, Sourcing Methods, Hours Worked and Number of Hires Placed. For example, lower prices are associated with Registered Nurse (RN) (15.0% to 25.0% of the first-year salary), Licensed Practical Nurse (LPN) (15.0% to 25.0% of the first-year salary) and Certified Nursing Assistant (CNA) (15.0% to 25.0% of the first-year salary), whereas higher prices are associated with Physician (20.0% to 30.0% of the first-year salary), Physician Assistant (PA) (20.0% to 30.0% of the first-year salary) and Nurse Practitioner (NP) (20.0% to 30.0% of the first-year salary).
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Permanent Medical Staffing Category Price Trends
Pricing trends are indicated by the compound annual growth rate (CAGR) during a set period of time. For the Permanent Medical Staffing market, prices in the US have grown 0.8% from 2022 to 2025. Subscribers can access price trend forecasts, price driver projections and forward-looking cost structure data. Learn more
United States (2022-2025)
0.8%
Compound Annual Growth RateUnited States (2025-2028)
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Price trend forecasts are available to subscribers, along with price driver projections and forward-looking cost structure data.
Cost Analysis - Total Cost of Ownership for Permanent Medical Staffing
Total cost of ownership is Low in the Permanent Medical Staffing market. The average cost of ownership differs depending on the contract but generally includes costs negotiated before the contract begins, costs billed during the contract period and unforeseen costs.
Negotiated Before
Pre-evaluation
Billed During
Travel
Testing
Buyer Power in Procurement Negotiations
In 2025, buyer power amounts to 0.8 in the United States. Buyer power is most positively impacted by Recent Developments. It is most negatively impacted by Market Share Concentration. Subscribers can access details on eight other factors that impact buyer power. Learn more
United States
Buyer power forecasts: your glimpse into the future
Develop strategies for the upcoming year and identify unforeseen opportunities for buying now
- Actionable "Buy Now" and "Buy Later" insights
- Near-real-time updates to current and forecast Buyer Power Scores
- Methodology and weightings for Buyer Power Score Components
Supply Chain Risk
The average level of supply chain risk is assessed as Low, which has a positive impact on buyer power. The level of supply chain risk is affected by industry volatility, barriers to entry, competition, import penetration, regulation and industry financial risk. Buyers in this market can mitigate procurement and supply chain management risks by monitoring risk levels for individual first and second tier suppliers:
1st
Tier Suppliers
- Computer Stores
- Office Supply Stores
- Commercial Leasing Providers
- Colleges & Universities
2nd
Tier Suppliers
- Computer Manufacturers
- Office Stationery Wholesalers
- Real Estate Sales & Brokerage Providers
Biggest Permanent Medical Staffing Suppliers in the US by Revenue
The largest Permanent Medical Staffing vendors by revenue in the US are Cross Country Healthcare Inc., Amn Healthcare Services, Inc. and Asgn Inc. Subscribers can sort and filter by market share concentration, profit level and other factors. Learn more
| Supplier | Operational Size | Headquarters | Number of Employees | Market Share (%) | Market Share Performance (3yr trend) | Total Revenue ($ million) | Profit Level (%) | Risk Level |
|---|---|---|---|---|---|---|---|---|
| Hca Healthcare, Inc. | International | NASHVILLE | >10,000 | 5-10 | ||||
| Amn Healthcare Services, Inc. | National | DALLAS, TX | 1,001-10,000 | 5-10 | ||||
| Cross Country Healthcare Inc. | National | BOCA RATON, FL | 1,001-10,000 | 5-10 | ||||
| CHG Healthcare Inc. | National | Midvale, UT | 1,001-10,000 | 5-10 | ||||
| Asgn Inc | Global | GLEN ALLEN, VA | 1,001-10,000 | < 5 | ||||
| SHC Services, Inc. | National | Park City, UT | 501-1,000 | < 5 | ||||
| Medical Solutions L.L.C. | National | Omaha, NE | 1,001-10,000 | < 5 | ||||
| Maxim Healthcare Services Inc. | National | Columbia, MD | >10,000 | < 5 | ||||
| Jackson Healthcare LLC. | National | Alpharetta, GA | 1,001-10,000 | < 5 | ||||
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Subscribers can access vendor information on Canadian and European suppliers, too. We also offer custom research services to help with vendor sourcing anywhere in the world.
Profit Analysis
The average profit margin across vendors in the Permanent Medical Staffing market is 3.5% and steady. Profit levels shift depending on suppliers' spend on wages, purchases and overhead. The highest cost component for vendors is Purchases. The cost trend for this component is rising, when considering movement between 2024 and 2025. To understand cost forecasts for 2026 and uncover the implications on profit, start your subscription. Learn more
Vendor & Supply Chain Analysis
Market share concentration among medical staffing agencies is low, with the top four players accounting for less than 30.0% of total market revenue. Due to the high competition among suppliers, buyers have a greater range of choices regarding the medical staff recruiter they decide to use.
Average vendor financial risk is low in this market. Generally, larger suppliers are more financially stable due to their economies of scale, diverse service offerings and larger client base.
The supply chain for permanent medical staffing services presents a low level of risk, which benefits buyer power by mitigating the risk of price shocks or service discontinuity due to supply chain disruptions.
The United States is a net importer of computers, meaning it imports more computers than it exports. While lower manufacturing costs abroad drive down prices for imported computers, relying on imports can lead to potential shortages or price increases if there are supply chain disruptions due to geopolitical tensions, trade disputes, or global crises.
Supplier Information
CHG Healthcare Inc.
CHG Healthcare Inc. is a private company operating nationally in the administration, business support and waste management services sector. The company's offerings include temporary medical staffing and permanent medical staffing. Founded in 1979, the company is currently headquartered in Midvale, Utah, United... Subscribe to learn more
Cross Country Healthcare Inc.
Cross Country Healthcare Inc. is a public company operating nationally in the administration, business support and waste management services sector. The company's offerings include temporary medical staffing and permanent medical staffing. Founded in 1986, the company is currently headquartered in BOCA RATON,... Subscribe to learn more
Amn Healthcare Services, Inc.
Amn Healthcare Services, Inc. is a public company operating nationally in the administration, business support and waste management services sector. The company's offerings include temporary medical staffing and permanent medical staffing. Founded in 1985, the company is currently headquartered in DALLAS,... Subscribe to learn more
Hca Healthcare, Inc.
HCA Holdings Inc. is engaged in the operation of hospitals and healthcare facilities across the US and England. Its portfolio includes general and acute care hospitals, psychiatric hospitals, rehabilitation hospitals, and freestanding surgery centers. It offers various services, including internal medicine,... Subscribe to learn more
Allegis Group, Inc.
Allegis Group, Inc. is a private company operating globally in the professional, scientific and technical services and administration, business support and waste management services sectors. The company's offerings include temporary clerical & administrative staffing, temporary it staffing, temporary warehouse... Subscribe to learn more
Jackson Healthcare LLC.
Jackson Healthcare LLC. is a private company operating nationally in the administration, business support and waste management services sector. The company's offerings include temporary medical staffing and permanent medical staffing. Founded in 2000, the company is currently headquartered in Alpharetta, Subscribe to learn more
Maxim Healthcare Services Inc.
Maxim Healthcare Services Inc. is a private company operating nationally in the administration, business support and waste management services sector. The company's offerings include temporary medical staffing and permanent medical staffing. Founded in 1988, the company is currently headquartered in Columbia,... Subscribe to learn more
Medical Solutions L.L.C.
Medical Solutions L.L.C. is a private company operating nationally in the administration, business support and waste management services sector. The company's offerings include temporary medical staffing and permanent medical staffing. Founded in 1997, the company is currently headquartered in Omaha, Nebraska,... Subscribe to learn more
SHC Services, Inc.
SHC Services, Inc. is a private company operating nationally in the administration, business support and waste management services sector. The company's offerings include temporary medical staffing and permanent medical staffing. Founded in 1984, the company is currently headquartered in Park City, Utah, Subscribe to learn more
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Procurement Management KPIs for the Permanent Medical Staffing Market
Managing vendor performance throughout the contract period is easier when tracking specific key performance indicators (KPIs). For example, buyers should monitor Customer Satisfaction (CSAT) and Employee Retention Rate. Buyers may experience better performance throughout their contracts if they establish service level agreements (SLAs) based on Employee Qualifications and other factors.
| KPI | Level of Importance (1-5) | Measurements | Key Considerations |
|---|---|---|---|
| Customer Satisfaction (CSAT) | Number of positive customer responses Number of customer responses | The client satisfaction rate, particularly for buyers of permanent medical staffing services, should include feedback not only concerning the vendor's recruitment process but also the long-term performance and retention of the placed candidates. Buyers should place higher value on vendors with a high client satisfaction rate in the permanent medical staffing market, as it typically indicates successful candidate sourcing, placement, and positive long-term results. | |
| Employee Retention Rate | Number of employees at start of period Number of employees at end of period | The placement retention rate measures the percentage of candidates placed by the vendor who remained in their roles for a specified period, such as one year or more, which can reflect the quality of the match between the candidate and the client's requirements. A high employee retention rate typically indicates that the vendor is hiring qualified talent that deliver positive results. Buyers should prioritize vendors with higher long-term placement retention rates, as it indicates their ability to source and place candidates who contribute positively to the client's organization for an extended period. | |
Questions to Ask During Procurement Negotiations
How can I gain leverage during negotiations?
Workforce
Why should we rely on your recruiting services if we currently have an internal hiring staff?
How do you maintain a steady level of communication with your buyers to keep them informed of the recruitment progress?
Qualifications
Have you instituted prescreening procedures related to the coronavirus?
How large is your current pool of candidates for permanent placement? Do you try to maintain a certain number of candidates at all times?
Competition
How are you adapting to the growth of online providers that offer recruitment services?
How long have you been in business? How do you differentiate your services from the competition?
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Permanent Medical Staffing RFP Guidelines
What should my RFP include?
Organizational Overview
Buyers should describe their operations and the types of medical facilities to be staffed.
Buyers should provide a detailed description of their operational structure and which departments require new staff.
Statement Of Need
Buyers should list the scope of staffing services requested.
Buyers should list the types of positions for which staffing services are needed.
Project Budget
Buyers should describe their desired pricing model (e.g., percentage of salary, flat fee, time and materials).
Buyers should define payment schedules.
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- Market share concentration
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